JONATHAN H ROSS (NPI# 1104881176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104881176 |
| Entity Type | Individual |
| Full Name | JONATHAN H ROSS |
| Credential | MD |
| Practice Address |
1725 W Harrison St Ste 710 Chicago IL 60612 |
| Mailing Address |
1725 W Harrison St Ste 710 Chicago IL 60612-3863 |
| Practice Telephone | 3129423034 |
| Mailing Telephone | 3129423034 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 35-058688 | OH | Allopathic & Osteopathic Physicians |
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
036-110209 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015632900004 | 05 | |
| OH | MEDICARE RAILROAD | P00829965 | 01 |
| OH | 0892066 | 05 | |
| OH | WELLCARE | 423827 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11100 Euclid Ave, Cleveland, OH 441061716 | 2168445661 | 2168441900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881638328 | Jonathan Blake Ross | Optometrist | 1815 E Highland Dr, Jonesboro, AR 72401-6118 | 2006-06-15 |
| 1194712208 | Jonathan Ross | Psychiatry & Neurology | 6410 Rockledge Dr Ste 610, Bethesda, MD 20817-1844 | 2005-10-04 |
| 1285248575 | Jonathan Ross | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2020-09-03 |
| 1912486986 | Jonathan Ross | Case Manager/Care Coordinator | 1421 Hamlet St, Columbus, OH 43201-2533 | 2018-08-10 |
| 1144748872 | Jonathan David Ross | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655-3901 | 2017-09-01 |
| 1861932238 | Jonathan Ross | Pharmacist | 1513 Live Oak St, Beaufort, NC 28516-1518 | 2017-03-03 |
| 1255781266 | Jonathan Ross | Technician, Other | 3231 S Gulley Rd, Suite E, Dearborn, MI 48124-4407 | 2016-06-21 |
| 1780059816 | Jonathan Ross | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-01 |
| 1013315530 | Jonathan Ross | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128-1836 | 2014-12-16 |
| 1568724896 | Jonathan Ross | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2012-06-12 |
| Street Address |
1725 W HARRISON ST STE 710 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588292130 | Katherine J Friedmann | Nurse Practitioner | 1725 W Harrison St Ste 710, Chicago, IL 60612-3863 | 2020-03-30 |
| 1184260762 | Aparna Bindiganavle | Nurse Practitioner | 1725 W Harrison St Ste 710, Chicago, IL 60612-3863 | 2019-11-19 |
| 1174171367 | Kelsey E Hogan | Genetic Counselor, MS | 1725 W Harrison St Ste 710, Chicago, IL 60612-3863 | 2019-08-30 |
| 1164990131 | Ariel Grace Conners | Nurse Practitioner | 1725 W Harrison St Ste 710, Chicago, IL 60612-3863 | 2018-11-08 |
| 1750822250 | Suhagi Kadakia | Pediatrics | 1725 W Harrison St Ste 710, Chicago, IL 60612-3863 | 2017-03-16 |
| 1912312547 | Marilyn Featherston | Pediatrics | 1725 W Harrison St Ste 710, Chicago, IL 60612-3863 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578752739 | Kids Urology. S.c. | Urology | 2300 N Childrens Plz # 24, Chicago, IL 60614-3363 | 2007-10-23 |
| 1093892143 | John Houston | Urology | 2308 N Lincoln Ave, Chicago, IL 60614-3676 | 2006-11-01 |
| 1205126257 | Deborah Lynn Jacobson | Urology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2011-04-12 |
| 1457675233 | Edward Ming-luan Gong | Urology | 225 E Chicago Ave, Box 24, Chicago, IL 60611-2991 | 2010-03-23 |
| 1558518761 | Jennifer Mickelson | Urology | 2300 N Childrens Plz # 24, Division of Urology - Childrens Memorial Hospital, Chicago, IL 60614-3363 | 2008-08-19 |
| 1891962148 | David I-wang Chu | Urology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2008-05-14 |
| 1790968147 | Mohan Saheb Gundeti | Urology | 5841 S Maryland Ave, Mc 6038, Chicago, IL 60637-1447 | 2007-12-07 |
| 1366568784 | Emilie Johnson | Urology | 225 E Chicago Ave, Box 24, Chicago, IL 60611-2991 | 2007-03-21 |
| 1710973763 | Elizabeth Yerkes | Urology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528109006 | Associated Urological Specialists LLC | Urology | 16632 107th St, Orland Park, IL 60467-8898 | 2007-02-09 |
| 1326189895 | Associated Urological Specialists | Urology | 4440 W 95th St Ste 109-112, Oak Lawn, IL 60453-2600 | 2007-02-09 |
| 1518983998 | Pediatric Urology Partners | Urology | 1440 Renaissance Dr, Suite 220, Park Ridge, IL 60068-1356 | 2006-07-15 |
| 1841844917 | Blair Mack | Urology | 1775 Dempster St, Park Ridge, IL 60068-1174 | 2019-07-28 |
| 1316193824 | Derek John Matoka | Urology | 2160 S 1st Ave, Building 54, Maywood, IL 60153-3328 | 2008-08-15 |
| 1437311479 | Children's Urology Health Partners | Urology | 1440 Renaissance Dr, Suite 220, Park Ridge, IL 60068-1356 | 2008-07-01 |
| 1114952256 | L. Suzanne Flom | Urology | 8901 Golf Rd, Suite 301, Des Plaines, IL 60016-6850 | 2006-07-11 |
| 1447200357 | Ranjiv Ignatius Mathews | Urology | 301 N 8th St, Suite Pav 4b, Springfield, IL 62701-1041 | 2006-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.